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黄体期、乏情期和脓性子宫蓄脓犬卵巢子宫切除术术后体温波动:77 例临床研究。

Body Temperature Fluctuation After Ovariohysterectomy in Dogs in Luteal Phase, Inactive Phase and Pyometra: A Clinical Study of 77 Cases.

机构信息

Companion Animal Clinic, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Companion Animal Clinic, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.

出版信息

Top Companion Anim Med. 2020 Aug;40:100440. doi: 10.1016/j.tcam.2020.100440. Epub 2020 May 15.

Abstract

Progesterone (P4) has a thermogenic effect in the bitch and a decrease in P4 has been associated with a mild transient decrease in body temperature. The aim of this study was to investigate the presence, the extent and the pattern of possible hypothermia after ovariohysterectomy (OHE) in healthy dogs in luteal phase and in bitches with pyometra that underwent therapeutic OHE. Sixty-two healthy dogs and 15 dogs with pyometra that underwent standardized OHE were included. Rectal temperature was measured 1 hour preoperatively (pre-op) and 6, 9, 12, 18, 24, 30, 36, 42, and 48 hours postoperatively (post-op). Serum P4 was measured 30 minutes pre-op and 6 and 24 hours post-op. Healthy dogs were classified in 3 groups based on their initial P4 concentration and in 3 separate groups based on their oestrus cycle stage. The temperature differentiation between the groups of the study was assessed using the repeated measures mixed-design ANOVA analysis. Temperature measured 18-42 hours post-op was significantly decreased compared to pre-op when initial P4 >8 ng/mL but not significantly decreased when P4 <8 ng/mL. Post-op temperature fluctuation in pregnant dogs showed no significant difference compared to dogs in diestrus. Dogs with pyometra had significantly lower temperature 6-48 hours post-op compared to all other groups. Conclusively, mild hypothermia (37.5-37.9°C) may be anticipated 18-42 hours after OHE performed in early diestrus or pregnancy in healthy dogs. More significant hypothermia (37.1-37.5°C) may be anticipated in normally recovering pyometra cases.

摘要

孕酮(P4)对母犬具有产热作用,P4 降低与体温轻度短暂下降有关。本研究旨在研究健康黄体期母犬和患有子宫积脓的母犬行卵巢子宫切除术(OHE)后是否存在、程度和模式的体温过低。纳入 62 只健康犬和 15 只患有子宫积脓行标准 OHE 的犬。术前 1 小时(术前)和术后 6、9、12、18、24、30、36、42 和 48 小时测量直肠温度。术前 30 分钟和术后 6 和 24 小时测量血清 P4。健康犬根据初始 P4 浓度分为 3 组,并根据发情周期阶段分为 3 个独立的组。使用重复测量混合设计方差分析评估研究组之间的温度差异。当初始 P4 >8 ng/mL 时,术后 18-42 小时测量的温度与术前相比显著降低,但当 P4 <8 ng/mL 时,温度没有显著降低。与发情期犬相比,怀孕犬术后的体温波动没有显著差异。与所有其他组相比,患有子宫积脓的犬在术后 6-48 小时的体温明显较低。结论,在健康犬发情早期或妊娠期间行 OHE 后 18-42 小时可能会出现轻度体温过低(37.5-37.9°C)。在正常恢复的子宫积脓病例中,可能会出现更明显的体温过低(37.1-37.5°C)。

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